Individual
DR. RAMYA THOTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MBBS
Contact information
Practice address
5121 S COTTONWOOD ST, ECCLES OUTPATIENT BUILDING, SUITE 610, SALT LAKE CITY, UT 84107-5701
(801) 507-3630
(801) 507-3631
Mailing address
5121 S COTTONWOOD ST, ECCLES OUTPATIENT BUILDING, SUITE 610, SALT LAKE CITY, UT 84107-5701
(801) 507-3630
(801) 507-3631
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
5989
NE
207RH0003X
Hematology & Oncology Physician
Primary
9687292-1205
UT
Other
Enumeration date
07/23/2009
Last updated
09/29/2021
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